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5 mm Initra Tunnel Phaco Fracture(ITPF) SICS With Multifocal IOL By Dr Singh 5 mm SICS With Multi Focal Foldable IOL By Dr Sudhir Singh Manual Small Incision Cataract Surgery also known as manual phaco or MSICS or manual SICS. This is the most cost effective cataract cataract extraction method with consistent very good visual outcome. We are demonstrating a real small incision 5 mm in this video. (You have seen a lot of SICS video at YouTube but there incision size more than 8 mm). All types of cataracts (hard cataract, posterior polar cataract, mature cataract, hyper mature cataract) can be operated by this method. Because we are breaking nucleus inside the tunnel and taking out in the pieces. The breaking of the nucleus is done in the tunnel, so cornea is spared from the injury. Nucleus breaking inside the tunnel known as “Intratunnel Phacofracture” method of the nucleus management. Most of the cases having bright clear cornea and 20/30 or better vision on the first post operative day. • Surgeon Dr Sudhir Singh Parameters • Incision Site Superotemporal • Incision Size Posterior width of the scleral tunnel - 5 mm Distance of posterior incision from the limbus was 1.5 mm Anterior width of the scleral tunnel – 6.0 mm Distance of the entry point in AC from the limbus - 1.5 mm • Cataract Type – Intumescent Nucleus Hardness Grade 2- 3 Nucleus Diameter 7 mm • Viscoelastics Sodium Hyaluronate • Irrigating Solution BSS • Dye used Trypan blue not used • Capsulotome 26 G needle capsulotome • Capsulotomy Type 5 mm capsulorhexis • Nucleus Management Intratunnel Phacofracture • IOL Acrylic Hydrophilic Multifocal Foldable IOL (Preziol Multi Focal) Discosure :No have financial Interest in any product mentioned • Lens Dilor Sinsky Hook • Wire Vectis Used Levis lens loop Appasamy Associates Catalogue No AA 1915 • Irrigation & Aspiration Simcoe Canula 23 G Irrigating/Aspirating Canula original model (Direct) aspiration through silicone tube & irrigation through main hub -------- Dr Sudhir Singh,MS Sr.Consultant & HOD Phaco Surgeon,Paediatric Ophthalmololist & Strabismologist JW Global Hospital & Research Centre Mount Abu,India [email protected] Visiting Senior Consultant Ophthalmologist Global Institute Of Ophthalmologist Abu Road 307510 [email protected] http://www.squintmaster.com/ http://www.theeyetimes.com/ http://www.rostimes.com/ Visit Us for more on strabismus software at www.SquintMaster.Com -------- Dr Sudhir Singh,MS Sr.Consultant & HOD Phaco Surgeon,Paediatric Ophthalmololist & Strabismologist JW Global Hospital & Research Centre Mount Abu,India [email protected] Visiting Senior Consultant Ophthalmologist Global Institute Of Ophthalmologist Abu Road 307510 [email protected] http://www.squintmaster.com/ http://www.theeyetimes.com/ http://www.rostimes.com/ Visit Us for more on strabismus software at www.SquintMaster.Com